Centering Race and Racism in Reproduction

Valdez, Natali; Deomampo, Daisy

doi:10.1080/01459740.2019.1643855

Cited by 39 publications

(32 citation statements)

References 40 publications

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“…Our results support this finding but also suggest that a bisexual or lesbian identity adds to this cumulative stress exposure. Much of the recent work in the area of Black women’s reproductive health has used a reproductive justice framework that demands researchers pay attention to the historical and systemic trauma experienced by Black women and other women of color within the medical community (Dominguez 2008; Ross and Solinger 2017; Valdez and Deomampo 2019; Wynn 2019). This work highlights how distrust of the medical community has been fostered by decades of exploitation and abuse by medical providers, particularly regarding women of color’s reproductive lives.…”

Section: Discussionmentioning

confidence: 99%

Sexual Identity and Birth Outcomes: A Focus on the Moderating Role of Race-ethnicity

et al. 2021

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Race-ethnic disparities in birth outcomes are well established, and new research suggests that there may also be important sexual identity disparities in birth weight and preterm birth. This study uses the National Longitudinal Study of Adolescent to Adult Health and is the first to examine disparities in birth outcomes at the intersection of race-ethnicity and sexual identity. We use ordinary least sqaures and logistic regression models with live births (n = 10,318) as the unit of analysis clustered on mother ID (n = 5,105), allowing us to adjust for preconception and pregnancy-specific perinatal risk factors as well as neighborhood characteristics. Results show a striking reversal in the effect of lesbian or bisexual identity on birth outcomes across race-ethnicities: For white women, a bisexual or lesbian identity is associated with better birth outcomes than their white heterosexual counterparts, but for Black and Latina women, it is associated with worse birth outcomes than their heterosexual peers.

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Section: Discussionmentioning

confidence: 99%

Sexual Identity and Birth Outcomes: A Focus on the Moderating Role of Race-ethnicity

et al. 2021

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“…Well before COVID-19 struck, between 2014 and 2017, the pregnancy-related mortality for non-Hispanic Black women (41 deaths/100,000 live births) was three times that of non-Hispanic white women (13.4 deaths/ 100,000 live births) and quadruple that of Hispanic or Latina women (11.6 deaths/100,000 live births) [Centers for Disease Control and Prevention (CDC), 2020a]. Evidence shows that the racial disparities in maternal outcomes are related to the chronic stress of structural racism as well as providers' racial bias (Bridges 2011;Eichelberger et al, 2016;Davis 2019;Valdez and Deomampo, 2019;Obinna 2020).…”

Section: Restricting Labor Support: Impacts On Maternal Mental Health and Health Equitymentioning

confidence: 99%

The Impacts of COVID-19 on US Maternity Care Practices: A Followup Study

Gutschow

Davis‐Floyd

2021

Front. Sociol.

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This article extends the findings of a rapid response article researched in April 2020 to illustrate how providers’ practices and attitudes toward COVID-19 had shifted in response to better evidence, increased experience, and improved guidance on how SARS-CoV-2 and COVID-19 impacted maternity care in the United States. This article is based on a review of current labor and delivery guidelines in relation to SARS-CoV-2 and COVID-19, and on an email survey of 28 community-based and hospital-based maternity care providers in the United State, who discuss their experiences and clients’ needs in response to a rapidly shifting landscape of maternity care during the COVID-19 pandemic. One-third of our respondents are obstetricians, while the other two-thirds include midwives, doulas, and labor and delivery nurses. We present these providers’ frustrations and coping mechanisms in shifting their practices in relation to COVID-19. The primary lessons learned relate to improved testing and accessing PPE for providers and clients; the need for better integration between community- and hospital-based providers; and changes in restrictive protocols concerning labor support persons, rooming-in with newborns, immediate skin-to-skin contact, and breastfeeding. We conclude by suggesting that the COVID-19 pandemic offers a transformational moment to shift maternity care in the United States toward a more integrated and sustainable model that might improve provider and maternal experiences as well as maternal and newborn outcomes.

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“…The effects of the COVID-19 pandemic have some analogies to the situation that developed in West Africa during the Ebola virus epidemic and disasters such as the 2004 tsunami in Indonesia and Hurricane Haiyan/ Yolanda in the Philippines. In West Africa in both infected and uninfected pregnant women, these impacts included fear of the hospital delivery system and of contagion from visiting clinics and hospitals, the unknown infection status of pregnant women, hospitals becoming catchment centers for infectious disease, and hesitation to seek medical care for noninfectious obstetric complications (Strong andSchwartz 2016, 2019). As with other disasters or shocks to healthcare, the COVID-19 pandemic reveals the technocratic and fragmented landscape of maternity care in the US today and the growing interest in community or out-of-hospital (OOH) births at home or in free-standing birth centers.…”

mentioning

confidence: 99%